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1528029089
STACY JAYNES ANDERSON
DOUGLASVILLE, GA
NPI
1528029089
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: GA LPC004243)
Enumeration Date
2006-03-31
Last Update Date
2007-07-08
Business Address
STACY JAYNES ANDERSON M.ED., LPC
6130 PRESTLEY MILL RD SUITE A
DOUGLASVILLE, GA 30134-2288
Phone number: 770-949-9675
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Mailing Address
STACY JAYNES ANDERSON M.ED., LPC
6130 PRESTLEY MILL RD SUITE A
DOUGLASVILLE, GA 30134-2288
Phone number: 770-949-9675
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